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Contact Information

GULFSHORE MEDICAL CONSULTANTS, PA
22A DOCTORS DR
OCEAN SPRINGS, MS39564-5721
 Phone: 228-872-1951
 Fax: 228-875-9998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GULFSHORE MEDICAL CONSULTANTS, PA

NPI Number 1710049200
LBN Legal business name GULFSHORE MEDICAL CONSULTANTS, PA
Authorized official GARY RODBERG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2006
Last updated 01/22/2008 - About 18 years ago
Identifiers
MS License # 14252
MS License # 15014
MS License # 17943
MS License # 18516
MS Medicaid 00114969
MS Medicaid 00117171
MS Medicaid 00126926
MS Medicaid 07521804
MS Medicaid 09015817
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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